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Alagappa University: Directorate of Distance Education

This document is an application form for admission to the Alagappa University Distance Education program. It requests information such as the applicant's name, date of birth, address, educational qualifications, preferred course and medium of study, demand draft details for payment of fees, and a declaration that the information provided is true. The form also specifies the documents that must accompany the application, such as attested copies of secondary and undergraduate certificates and mark statements, student index card with photograph, and demand draft.

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aaparumugam
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204 views4 pages

Alagappa University: Directorate of Distance Education

This document is an application form for admission to the Alagappa University Distance Education program. It requests information such as the applicant's name, date of birth, address, educational qualifications, preferred course and medium of study, demand draft details for payment of fees, and a declaration that the information provided is true. The form also specifies the documents that must accompany the application, such as attested copies of secondary and undergraduate certificates and mark statements, student index card with photograph, and demand draft.

Uploaded by

aaparumugam
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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Appln.No.

For ofce use



ALAGAPPA UNIVERSITY,KARAIKUDI-630 003
(A State University Re-Accredited with A Grade by NAA!
(Reco"nised by #istance $ducation ouncil% New #elhi!
APPLICATION FOR ADMISSIONS [Semester
System]
for the ACADMIC !AR "0#$ - "0#$ % CALNDAR !AR "0#$

Signature
of the Student
(To be filled in by the Candidate in his/her own handwriting in Block Letters)
Course Applied for (Please put mark in the appropriate box)
MB (!eneral)

MB("nternational Business)
MB (Banking # $inan%e)
MB (Pro&e%t' Management)
MB ((ospital Management)
MB ()ogisti% Management)
MB (Corp' *e%retaryship)
MB (Tourism)
MB (+du%ation Mgt')
MB ((,M)
MB (,etail Management)

MB (Corporate Management)

MB (Te%hnology Management)
MB (- .ears "ntegrated)

MC
MC ()ateral +ntry)
P!/C
M'*'0' (Master of *o%ial 0ork)
Medium for MB (!eneral) (Please Ti%k)

1' 2ame of the ppli%ant with initial (as in 3ualifying Certifi%ate 4 in BLOCK letters)5
6' $ather7s 2ame 5
8' ddress for Communi%ation 5


DIRCTORAT OF DISTANC DUCATION
Parti%ulars of /emand /raft5
/'/'2o'999999999999999999 ,s'9999999999 /ate5999999999999Bank99999999999999999999999999999
Note: The %andidate should write his/her name on the re:erse of the demand draft'
Tamil English
To be filled in by the Learning Centre:
2ame of the Centre5
Code 2o'
$$"; *TMP
*"<+ P(=T=
2/ *"!2
"2 T(+ B=;
!">+2 B+)=0
Pin %ode
+?Mail "/5
&hone with
S'# ode ( Mobile5
@' *ex5 -' Community5


(tta%h Community Certifi%ate 4;erox %opy)

A' /ate of Birth5 B' 2ationality5
C' /etails of +du%ational 3ualifi%ations5
Course
Studied
Name of the
Degree
Major
Month & Year of
Passing
Name of the
Institution/College/
University
Percentage of
Marks/
Class
(r'
*e%ondary
Dnder
!raduate
Post
!raduate

(+n%lose =riginal and ttested %opies of Plus Two/(r' *e%ondary and D!/P! Pro:isional Certifi%ate or /egree Certifi%ate
duly attested by !aEetted =ffi%er')
Individual Mark Statements will not be acceted
=ption for MB (!eneral/ "nternational Business)5
+le%ti:es for MB (!eneral)5
" hereby de%lare that the parti%ulars gi:en abo:e are true' "f any of the parti%ulars furnished are found to be falseF "
agree to forfeit my admission'
/ate5 *ignature of the Candidate
2ote5 The following do%uments must a%%ompany the filled?in appli%ation 5
1' =riginal and Copy of (r' *e%ondary Mark *tatement duly attested by !aEetted =ffi%er'
6' =riginal and Copy of D! Pro:isional or /egree Certifi%ate and Markstatement duly attested by !aEetted
=ffi%er'
8' $illed?in *tudent "ndex Card with stamp siEe photo affixed'
@' /emand /raft for Pres%ribed fee (,efer to Prospe%tus)
-' Copy of Community Certifi%ate duly attested by !aEetted =ffi%er (if appli%able)'
Certified that
G ppli%ation is s%rutinised dmitted / 2ot dmitted
G =riginal Certifi%ates are :erified and returned
G Copies of the %ertifi%ates duly attested by !aEetted =ffi%er are :erified /ate of dmission 99999999999999999
G Candidate is found eligible
*ignature of the Programme =ffi%er with seal **T',+!"*T,, /",+CT=,
,e%ei:ed ba%k the original %ertifi%ates5
*C *T MBC BC =C
/ate Month .ear
Papers
Marketing $inan%e Personnel *ystem
*ignature of the %andidate
ALAGAPPA UNIVERSITY, KARAIKUDI-630 003.
(,e?%%redited with H7 !rade by 2C)
DIRECTORATE OF DISTANCE EDUCATION
(,e%ogniEed by /istan%e +du%ation Coun%ilF 2ew /elhi)

Appln. No: Enrl.No:
PROGRAMME:____________________________________
______________________
NAME:
DATE OF BIRT :


Signature of the Student
ADDRESS: !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!
NAME OF TE "EARNING
#ENTRE $ #ENTRE #ODE
STUDENT INDEX CARD
$$"; *TMP
*"<+ P(=T=
2/ *"!2
"2 T(+ B=;
!">+2 B+)=0

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